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Dokumen : GSB- Form-244

Revisi : 00
BUBBLE TEST REPORT Halaman : 1 dari 1

PT. GERBANG SARANA BAJA Tanggal : 20 September 2017

Project No. : Report No. :

Project Name : Contractor :

Name of Equipment : End User :

TAG No. : Dwg. No. :

TEST DETAIL

Testing Pressure :

Medium :

Start ( Date & Time ) :

Stop ( Date & Time ) :

Holding Time :

Pressure (Psig) RESULT

No. Remarks
Spec. Actual Acc Reject

Prepared By Witnessed/Approved By Witnessed/Approved By Witnessed/Approved By

PT. Gerbang SaranaBaja

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